Refuse and Recycling - Instructions for online forms
Brown Bin Collection Form
Use the Brown Bin Collection form to:
- Request assistance / Pull out service for elderly and disabled customers;
- Report missed collections;
- Provide feedback regarding the service.
Instructions - You may need to fill in all or some of the questions on the form.
(The questions below are replicas of what you will see on the downloaded form, answers must be filled in on the form only)
What is the nature of your enquiry?* You must answer this question on the form
(If Assistance required) please give details.
This relates to an application for the pull-out service, which is only available to residents living on their own who are disabled or unable to put their bins out for collection.
Please enter details including contact number(s)
Note: Proof will be required of the need for assistance ( e.g. Hospital / GP / Social Services letter ).
Details will need to be in writing and addressed to the Waste and Engineering Development Officer, Civic Centre. Beecroft road. Cannock. WS11 1BG.
(If Service Failure) What is the nature of the Service Failure?
Pick any from the drop down menu that relates to your enquiry.
(If other service failure) please describe.
If your particular service failure is not on the list then please use your own words to describe it.
(If Feedback), What is the nature of the feedback?
If you wish to let us know about a particular aspect of our service then please use this section to let us know.